The role of extracorporeal membrane oxygenation in an acute basal ventricular septal rupture

Matos, Daniel; Madeira, Márcio; Nolasco, Tiago; Neves, José Pedro

doi:10.1093/ejcts/ezz235

Cited by 9 publications

(10 citation statements)

References 3 publications

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“…On the other hand, the present patient had severe cardiogenic shock with the VSP and the delayed PMR, so VA-ECMO was used each time. Recently, there have been several encouraging reports of preoperative VA-ECMO in patients with post-infarction mechanical complications [ 7 , 8 ], and we consider that the preoperative ECMO therapy may have played a crucial role in the present case.…”

Section: Discussionmentioning

confidence: 70%

Ventricular septal perforation followed by papillary muscle rupture with acute myocardial infarction: efficacy of venoarterial extracorporeal membrane oxygenation

Ushioda

Fujii

Shirakawa

et al. 2020

Journal of Surgical Case Reports

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The occurrence of multiple mechanical complications after myocardial infarction in the same patient may be extremely rare, and the surgical strategy may be very complex because each mechanical complication can be extremely fatal. The case of a patient who underwent repair of a ventricular septal perforation by venoarterial extracorporeal membrane oxygenation (VA-ECMO), then mitral valve replacement and VA-ECMO for papillary muscle rupture 2 weeks after the ventricular septal perforation repair, is reported. Immediate preoperative stabilization with VA-ECMO may play a crucial role in treating multiple mechanical complications after myocardial infarction.

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Section: Discussionmentioning

confidence: 70%

Ventricular septal perforation followed by papillary muscle rupture with acute myocardial infarction: efficacy of venoarterial extracorporeal membrane oxygenation

Ushioda

Fujii

Shirakawa

et al. 2020

Journal of Surgical Case Reports

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“…The efficacy of ECMO is suggested in several case reports. [5][6][7][8] This case report demonstrates the successful use of ECMO and IABP in the treatment of VSR after CABG.…”

Section: Discussionmentioning

confidence: 71%

Intraoperative postinfarct ventricular septal rupture during coronary bypass grafting

et al. 2021

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We report a case of a ventricular septal rupture (VSR) which occurred during coronary artery bypass grafting (CABG) operation. The procedure took place 5 days after ST-elevation myocardial infarction of the inferior wall. The VSR repair was not performed at the time of the CABG operation. The intention was to wait until scar formation occurs to facilitate the repair. The patient was supported with venoarterial extracorporeal membranous oxygenation (VA-ECMO) and additional intra-aortic balloon pump (IABP) on intensive care unit. Ten days after CABG the patient underwent a successful VSR repair and 5 days later was weaned from VA-ECMO. He was discharged from hospital 6 weeks after the initial CABG. This case report underlines the importance of VA-ECMO and a multidisciplinary approach with frequent examination of haemodynamic state in the treatment of patients with mechanical complications of myocardial infarction who are not suitable for immediate repair.

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“…The use of VA-ECMO as a bridge to cardiac surgery in critical cardiac surgical illness, in this case, in the setting of post-MI VSD is certainly gaining traction and there is evidence that it is an efficacious strategy in a significant proportion of patients, as demonstrated by quite a number of case reports [6][7][8][9][10][11][12][13][14][15][16][17] and a recent systematic review. 18 Our results are being consistent with the previously reported patients.…”

Section: Discussionmentioning

confidence: 99%

The efficiency of the preoperative extracorporeal membrane oxygenation in the setting of postinfarction ventricular septal defect and how to optimize outcomes: A single center case series

Artemiou

Gašparovič

Hudec

et al. 2022

Journal of Cardiac Surgery

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The mortality rate after the development of postinfarction ventricular septal defect remains high despite progress in pharmacologic therapy, invasive cardiology, and surgical techniques. We present a case series of six patients with preoperative venoarterial extracorporeal membrane oxygenation as a bridge to reparative surgical repair. Venoarterial extracorporeal membrane oxygenation allows to hemodynamically stabilize the patient, and safely delay the surgery. Delayed surgery might facilitate successful repair by allowing friable tissue to organize, strengthen, and become well‐differentiated from surrounding healthy tissue; thus, definite repair can be performed safely. All patients were in cardiogenic shock and would otherwise require emergent cardiac surgery with associated risk. Three patients were discharged, with one hospital mortality of a patient who had a successful bridge to corrective surgery and died due to pulmonary artery rupture after a right ventricular assist device implantation. Two patients died before surgery while they were supported by venoarterial extracorporeal membrane oxygenation due to vascular complications. We discuss strategies how to optimize the management and function of the venoarterial extracorporeal membrane oxygenation to decrease the rate of adverse effects and optimize the outcomes of these patients.

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The role of extracorporeal membrane oxygenation in an acute basal ventricular septal rupture

Cited by 9 publications

References 3 publications

Ventricular septal perforation followed by papillary muscle rupture with acute myocardial infarction: efficacy of venoarterial extracorporeal membrane oxygenation

Ventricular septal perforation followed by papillary muscle rupture with acute myocardial infarction: efficacy of venoarterial extracorporeal membrane oxygenation

Intraoperative postinfarct ventricular septal rupture during coronary bypass grafting

The efficiency of the preoperative extracorporeal membrane oxygenation in the setting of postinfarction ventricular septal defect and how to optimize outcomes: A single center case series

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